Blue Hills Community Health Alliance Massachusetts Department of Public Health Community Health Network Area (CHNA) 20
A volunteer coalition dedicated to improving the health and well-being of those who live and work in the communities of Braintree, Canton, Cohasset, Hingham, Hull, Milton, Norwell, Norwood, Quincy, Randolph, Scituate, Sharon, and Weymouth. Membership is open to all.
CHNA 20 Steering Committee Application The Blue Hills Community Health Alliance is governed by a Steering Committee that is vested with: • All administrative oversight of the CHNA • Strategic planning for the CHNA • Oversight of the CHNA’s community needs assessment process • Oversight of CHNA financial matters, including development and monitoring of the budget • The selection, evaluation and termination, if necessary, of the Fiscal Sponsor • Ensuring that the CHNA and the Steering Committee are comprised of recruited, engaged and responsive members from the CHNA service area that work across disciplines serving all cohorts (infants, children, adolescents, adults, elders). • Monitoring the performance of staff and other consultants, if applicable. Steering Committee (SC) Overview • The CHNA 20 Steering Committee is composed of a minimum of seven and a maximum of fifteen members. • Organizations participating at SC meeting have one SC vote per organization. • Representative(s) from the Massachusetts Department of Public Health (DPH) as well as guests are non-voting members of the SC. • SC members strive to represent the diversity of our CHNA communities (cultural, linguistic, geographic and economic) and to involve a variety of public and private institutions representing the total life span. • Times and frequency of all SC meetings are determined by its members (generally bimonthly). • Persons and organizations within the CHNA General Membership are encouraged to provide feedback to and/or consider joining the Steering Committee. Any member interested in becoming a Steering Committee member will be brought to the committee for consideration. Steering Committee Member Obligations • SC Members are expected to attend a majority of meetings in a given year either in person or via conference call.
• SC members who are unable to attend a Steering Committee meeting because of a scheduling conflict will notify the Program Manager soon as possible. • SC members may also be asked to be available for CHNA communications as necessary between Steering Committee and General Membership meetings. • Business conducted by the Steering Committee is reviewed at the next General Meeting of the CHNA, as necessary and appropriate. • Steering Committee members retain their membership until they formally resign or if they are unable to fulfill their required SC obligations. Individuals who are interested in Steering Committee membership are encouraged to complete this application and send it to chna20@baystatecs.org or return a hard copy to: CHNA 20, Arlene Goldstein, Program Manager, Quincy Center for Innovation, Suite 300, 180 Old Colony Avenue, Quincy, MA 02170 or call Arlene at 781.413.5291. CHNA 20 Steering Committee Application
ABOUT YOU
Name: ________________________________________________________________ ____________ Title: ________________________________________________________________ ____________ Organization: ________________________________________________________________ ______ City: _____________________________________State:_______ Zip: ________________________ Phone:_____________________________ Fax:_______________________________ Preferred email address: ____________________________________________________________
BACKGROUND and EXPERIENCE
Please describe you back ground and experience:
SKILLS / RESOURCES
Please describe skills or resources that you would bring to your role as a Steering Committee member:
CHNA 20 / COMMUNITY INVOLVEMENT
Please describe your involvement with CHNA 20 activities and/or any other community organizations:
WHY YOU WOULD LIKE TO JOIN
Thank you for your interest!